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CAH241371-03 SANFORD MEDICAL CENTER LUVERNE (Active)
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Main Details
Name
SANFORD MEDICAL CENTER LUVERNE
Subdivision Name
Sanford Luverne Womens Health Clinic - OB/Gyn
Type
Critical Access Hospital
Rural
No
340B ID
CAH241371-03
Medicare Provider Number
241371
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/3/2019
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Sanford Health
Eric Lucas Vanden Hull, Vice President of Finance - Sioux Falls HSD
(712) 261-5275
Primary Contact
Sanford USD Medical Center
Alyssa O Howard, Director of Pharmacy
(605) 695-1697
Addresses
Street Address
1601 Sioux Valley Drive
Luverne, MN 56156
Billing Address
Sanford Medical Center Luverne
1600 N Kniss Avenue
Luverne, MN 56156
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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